The Coding Charge Audit Analyst is responsible for maintaining the healthcare system’s Charge Description Master dictionary (CDM) to ensure the coding of new and existing charges is within applicable coding guidelines; Assists with billing issue resolution through knowledge and research; Verifies appropriate bundling or unbundling of charges so all submitted claims result in maximum reimbursement while following applicable billing and coding regulations; Communicates CDM changes to affected departments within the healthcare systems; Coordinates with Decision Support to confirm new services, supplies, procedures and codes are included in Cost reporting, reimbursement, and productivity; Performs audits of medical records comparing documentation against the itemized bill for the purpose of accurate billing and reports audit outcomes regarding charge errors to department management to educate on billing issues and provide education to prevent future errors; Serves as a resource on coding and billing guidelines throughout the organization to reduce and prevent claim denials.

Completion of a medical coding diploma or certificate program from an accredited institution.

Five (5) years of outpatient coding experience in an acute care setting. Revenue cycle experience, including billing and reimbursement.

Certified Professional Coder (CPC) by AAPC or Certified Coding Specialist (CCS) by AHIMA.

Proficient in coding and billing regulations, medical terminology, medial record review, and Meditech; Extensive knowledge of HCPCS and CPT coding; Excellent communication (both written and oral) and interpersonal skills; Strong computer, mathematical, analytical, and research skills; Experience with Microsoft Office products, especially spreadsheets;

Assertive, motivated, and able to work independently; Reliable to complete daily tasks.